This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient is taking an aminoglycoside and a cephalosporin. The primary care NP should consider _____ ... (Read 71 times)

justinmsk

  • Hero Member
  • *****
  • Posts: 524
on: Jul 24, 2018
A patient is taking an aminoglycoside and a cephalosporin. The primary care NP should consider _____ the dose of _____.
 
  a. increasing; cephalosporin
  b. decreasing; cephalosporin
  c. increasing; aminoglycoside
  d. decreasing; aminoglycoside

Question 2

A 20-kg child takes valproic acid (Depakote) for seizures and has had regular dose increases with a current dose of 250 mg twice daily.
 
  The child continues to have one to two seizures each week along with significant drowsiness that interferes with school participation. The primary care NP should contact the child's neurologist to discuss: a. obtaining a serum valproic acid level.
  b. changing the medication to gabapentin (Neurontin).
  c. increasing the valproic acid by 5 mg per kg of weight.
  d. adding lamotrigine (Lamictal) to this child's drug regimen.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

peilian

  • Sr. Member
  • ****
  • Posts: 316
Reply #1 on: Jul 24, 2018
Answer to Question 1

D
Cephalosporins can heighten aminoglycoside toxicity, so a decrease in the dose of the aminoglycoside should be considered.

Answer to Question 2

D
Research suggests a combination of lamotrigine and valproate to be the most effective regimen in patients with refractory epilepsy. Valproic acid dosing may be increased to a maximum of 60 mg/kg/day unless side effects prevent further increase in dosage. The other drugs are not recommended.


justinmsk

  • Hero Member
  • *****
  • Posts: 524
Reply #2 on: Jul 24, 2018
TY


peilian

  • Sr. Member
  • ****
  • Posts: 316
Reply #3 on: Jul 24, 2018
You're welcome


« previous next »
 

Did you know?

Patients who cannot swallow may receive nutrition via a parenteral route—usually, a catheter is inserted through the chest into a large vein going into the heart.

Did you know?

People often find it difficult to accept the idea that bacteria can be beneficial and improve health. Lactic acid bacteria are good, and when eaten, these bacteria improve health and increase longevity. These bacteria included in foods such as yogurt.

Did you know?

The average older adult in the United States takes five prescription drugs per day. Half of these drugs contain a sedative. Alcohol should therefore be avoided by most senior citizens because of the dangerous interactions between alcohol and sedatives.

Did you know?

Acute bronchitis is an inflammation of the breathing tubes (bronchi), which causes increased mucus production and other changes. It is usually caused by bacteria or viruses, can be serious in people who have pulmonary or cardiac diseases, and can lead to pneumonia.

Did you know?

Eating carrots will improve your eyesight. Carrots are high in vitamin A (retinol), which is essential for good vision. It can also be found in milk, cheese, egg yolks, and liver.

The nurse needs to inform the patient with impaired vision when a touch is to occur and ask permissi The nurse needs to inform the patient with impaired vision when a touch is to occur and ask permissi
Concept Care Map Concept Care Map
The nurse cares for the postop client in the postanesthesia care unit (PACU). The nurse cares for the postop client in the postanesthesia care unit (PACU).
Cystostomy. An artificial opening is made through the urinary bladder wall during this procedure. As Cystostomy. An artificial opening is made through the urinary bladder wall during this procedure. As
The Primary Sensory Regions of the Brain The Primary Sensory Regions of the Brain
Patient health history form. Patient health history form.
Video: Sickle Cell Anemia

For a complete list of videos, visit our video library